HomeMy WebLinkAbout45163_HERRY, PAUL_20060412❑CAMA / ❑ DREDGE & FILL
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GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Applicant Name
Address
-
City
State ZIP
Phone # O
Fax # ( )
Authorized Agent
❑ CW
I] EW ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): [IOEA
❑ HHF [IIH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
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Previous permit #
Date previous permit issued/
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City_ ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
l Hr- r; G `t LUUU
Signature Please read compliance statement o t Issui g ate Expiration Date
f1 f"ad City Dew r V
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name
L
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to `,ecome
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules L] Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office Elizabeth Ciq District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
LHOW 3Hl Ol 3d013AN3 d0 dOl ltl 83x011S 30V1d
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Dip CoCUn k-5 a t DT.
at a rl&u x'oO
i2�1. l�,cli�►. � -� c.o t �-
A. Signature
X ❑ Agent
❑ Addressee
B. Received by ( Printed Name) I C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
LA-Eertffied Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mall ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 1350 0001 6537 6631
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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Innerbanks Marine Construction Inc.
(Piers, Sea walls, Boat lifts, Permits)
Nick D'Ambrosia, Vice President
NC license #55828 ,B
Ph/Fx 252-249-1429/252-249-2429
Cell 252-671-7757
P.O. Box 190, Oriental, NC 28571
www. hinerbanks. biz
Adjacent Riparian Property Owner Statement
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to C)PQ k 1 A r X gr " 's
Name of Property Owner
property located at ►aL 3Ermz1E pt2zJI✓
Lot, block, road, etc.
on 005�, 2a.UER . , in ocye 1l a i , NC
Waterbody Town and/or county
He has described to me, as shown below, the development he is proposing at that location and I have
no objections to his proposal.
I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
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Signature
Print or type name
Telephone number
Date
� jL� l Ivin Cc
http://www.innerbanks.biz/arpos.htm 1 /29/2006
60
Sitin n b�-v�� Wine CwnSTeucTr,,_" Inc
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INNERBANKS MAkINE CONSTRUCTION INC.
PO BOX 190 ORIENTAL, NC. 28571
OFFICE (252) 249-1429 FAX (252) 249-2429
EMAIL info(a)innerbanks.biz
www.inne'rbanks.biz
70
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to (DKkJ k 1-\Gog=tA is
Name of Property Owner
property located at 5 a 9 t'-1i 3 e✓WnVAE D�'�::�:JE ,
Lot, block, road, etc.
on in U2!:V01-C w j , NC
Waterbody Town and/or county
He has described to me, as shown below, the development he is proposing at that location and I have
no objections to his proposal.
�U2S %L %� l �(i
I do not wish to waive the setback requirement. 6'V1 I N � I � M IN (Wwm
S 1�}NGz I do wish to waive the setback requirement. Ffi-6) P"- N ri'� Lt 9-"/-1-v
PlLo�&I-Tr� , TH6ieS
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
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Signature
Print or type name
Telephone number
AAA
Date
http://www.innerbanks.biz/arpos.htm 1 /29/2006
_ta-_�_A_. Err-iIs-_
INNERBANKS MARINE CONSTRUCTION, INC.114
P.O. BOX 190 PH. 252 249 1429
ORIENTAL, NC 28571
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PAY , ; , t l���r DATE
TO THE 472
ORDER OF L I{ f .
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DOLLARS
FST CITI ZENS 472
F�rstyytim s8ank $Trust Company y
u Onentai, N.C, 28571
www.firstcitize .c ��, �•;` ti ' �,jti� ,
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